Claims Analyst

Key Responsibilities

• Research, review, and validate claims data to ensure accuracy and timely processing.
• Investigate claim discrepancies, perform root cause analysis, and recommend resolutions.
• Support operational activities by responding to inquiries and resolving claims-related issues.
• Perform data entry, maintain documentation, and assist with process improvements.
• Conduct system testing, document results, and update SOPs and operational procedures.
• Work with cross-functional teams to ensure compliance with established processes and deadlines.

Required Skills & Qualifications

• 2+ years of experience in claims, operations support, or an analyst role.
• 1-2 years of data entry experience with strong attention to detail.
• Advanced proficiency in Microsoft Excel (required), along with MS Word and Outlook.
• Strong analytical, organizational, and communication skills.
• Ability to work independently in a fast-paced, deadline-driven environment.
• Experience with medical coding, healthcare claims, or ICD-10 is a strong plus.
• Familiarity with Adobe, FixIt, and LuminX is preferred.
• Must have their own laptop to perform job responsibilities.

Pay

Commensurate with experience.

Schedule

Varies based on project needs.

Benefits

N/A

Qualifications

Must have their own laptop to perform job responsibilities.

Skills

N/A

Benefits

N/A

Company Description

Lumen Solutions Group Inc. is a technology consulting Services company based in Florida. We provide a wide array of experienced business and IT professionals supporting clients from solution design to implementation and support. We specialize in professional IT consulting services, IT Staffing, Business/IT Strategy, Business Process Blueprints, Enterprise Architecture, and Enterprise Transformation.